|
AIMS/
IMPACTS |
ALTERNATIVE 1
Activities to be continued as they are; an agreement on
carrying out the activities on a permanent basis (3-5
yrs) |
ALTERNATIVE 2
Activities to be discontinued on 31 Dec 2007 at the
latest |
ALTERNATIVE 3
Activities to be made part of the municipality's
activities; the flea market to be closed (a separate agreement), ½
of the worker's work contribution |
ALTERNATIVE 4
A sub-regional model
All services of the Street Mission available
sub-regionally
No service units in Muurame. |
| Prevention of social exclusion aimed at |
Good examples of prevention of exclusion can be given
Some ten persons try to stay sober with current services
Some case management
A side product: social control in a positive sense |
No support to those trying to stay sober?
Clients seek other services: social work, health centre, parish,
etc.
Increasing social assistance expenditure - an indirect impact |
No major changes
Share of voluntary work will decrease
More expensive to the municipality?
Skills in substance abuse prevention need to be acquired somehow
(subsidised employment, training) |
The best way to prevent social exclusion
How can the services be provided in the municipality's remoter
areas?
Would the Street Mission buy Kettula?
Fails to reach a major part of current clients |
| Peer support to clients |
The only form of self-help available to substance abusers
Support from the group and a permanent worker important (not mere
meals) |
Abandonment of clients to their own devices? |
Is the municipality able to replace the support offered by
voluntary workers?
Who would be responsible for the activities? |
If the services are provided in Jyväskylä only, should one go
that far to get them? |
| Establishing a co-operative network, co-operation |
Street Mission's long tradition and special skills
Club and other activities by the parish provide support
Co-operation between the parish and municipality are of key
importance |
Other group activities and remaining networks are of vital
importance
Role of the parish increasingly important, but no resources for
extensive activities |
Closer co-operation with the "authority network" and less close
contacts with voluntary workers
Will the "authority approach" be excessive?
The municipality has functioning local networks |
Centralisation of activities would weaken local networks
New approaches possible: e.g. social house management (special
support, tailored practices) |
| Quality and role of substance abuse prevention |
Fails to reach all client groups (such as young people, young
adults, people at work)
Not too effective as a preventive service
Problems in contacts between authorities? |
Will be reduced from little to non-existent |
Closer to the processes, targets and strategies of municipal
administration
Prevention not too effective
Workshop activities remain in place but the municipality's role
increases
Easier to train workers |
Fails to reach all current clients
More possibilities but does not necessarily guarantee the
implementation of substance abuse prevention
More "carrots" on offer
A higher level of competence among workers
Substance-free service units, low-threshold services, vocational
rehabilitation etc. |
| Health impacts |
Positive impacts on physical health (outdoor activities,
mobilising, meals) and mental health (meeting other people
etc.) |
Negative impacts on physical and mental health (see alternative
1) |
Positive impacts on
physical health (outdoor activities, mobilising, meals) and mental
health (meeting other people etc.) |
If the client moves to Jyväskylä: health impacts as specified
under alternatives 1 and 3
Better availability of specialised health services in
Jyväskylä
Mental health may deteriorate when the immediate network is
reduced |
|
Cost effects |
Rather expensive for the municipality, assessment of outcome
nearly impossible
Support needed from all actors, especially the parish and the
municipality |
Municipality will save €30 000/year (cf. 1 x a 6-month period of
institutional rehabilitation) in the short term
In the long term, costs are likely to increase if these services
are not replaced with other services
Municipality's expenditure on renovating Kettula will increase |
Closer co-operation with health services - more effective
prevention of health problems with a decrease in costs (NB costs of
specialised health care)
Potential impact: a decrease in claims for social assistance
Food aid??? |
Clients' travel expenses increase
Centralisation of services reduces the price of "care day"
Distribution of food in Muurame - a potential impact: a decrease in
claims for social assistance??? |